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Referral to Dental Practitioners Donating Their Services | Give Back a Smile Program

200 River Place, Suite 150, Monona, WI 53716

Eligibility

-Adult (18+) women and men who have received dental injuries from: former intimate partner or spouse (husband, wife, boyfriend, or girlfriend), sexual violence (sexual assault and/or rape), or human trafficking -The incident causing the dental injuries must have occurred at least one year ago, and the applicant must be away from all abusive situations for a minimum of one year. -All applicants must meet with a domestic violence/sexual assault advocate, case manager, counselor, therapist, or doctor with experience in counseling survivors of domestic violence/sexual assault at least once. -The program is not intended to help with dental neglect (such as cavities), gum disease, jaw injuries, or orthodontic treatment (braces, shifted teeth, and/or spaces between teeth) -The program does not replace or fix previous dental work done by any dentist including Give Back a Smile volunteers

Hours

Monday through Friday, 8:30 a.m. to 5:00 p.m.
800-543-9220

Voice - Main Line

https://www.givebackasmile.com/apply

Languages

English

Application process

Please visit website or call.

Fees

A $20.00 application fee must be paid through the online application

Description

The American Academy of Cosmetic Dentistry' Charitable Foundation's Give Back a Smile program connects adult survivors of intimate and/or sexual violence who’ve received dental injuries from the abuse with volunteer cosmetic dentists who donate their time and services to restore their smiles.

Last Assured

12/08/2025

Providing organization

Give Back a Smile Program

The American Academy of Cosmetic Dentistry' Charitable Foundation's Give Back a Smile program connects adult survivors of intimate and/or sexual violence who’ve received dental injuries from the abuse with volunteer cosmetic dentists who donate their time and services to restore their smiles.